W15i Cavatorta VENA GIUGULARE ESTERNA.ppt [Lecture ... - SFAV

Sedi di posizionamento CVC
1) vena giugulare interna ds.
2) Vena giugulare interna
sn.
3) Vene succlavie
Rationale
4) Vene femorali
5) vena giugulare esterna ds.
Tunneled cuffed venous catheters shoulde be
placed preferentially in the right internal
jugular vein because this site offers a more
6) vena giugulare esterna sn.
direct route to the caval atrial junction than
the left-sided great veins. Catheter insertion
and maintenance in right internal jugular
vein are associated with a lower risk of
complications comparated to other potential
catheter insertion sites. Catheter
placement in the left internal jugular vein is
associated with poor blood flow rates and
high rates of stenosis and thrombosis.
Femoral and translumbar vein placement are
associated with infection rates comparated to
other sites
NKF- DOQI n 5
B.The preferred insertion site for
tunnelled cuffed venous dialysis
catheters is the right VGI. Others
options: external VG ds, VGI sn,
external VG sn (evidence)
NKF- DOQI n 6
C.Non cuffed catheters can be inserted
at the bedside in the femoral,internal
jugular, or subclavian position(evidence)
D.The subclavian insertion site should
not be used in a patient who may need
permanent vascular access(evidence)